POSTERIOR SPINE FUSION Why does my child need this surgery?

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "POSTERIOR SPINE FUSION Why does my child need this surgery?"

Transcription

1 POSTERIOR SPINE FUSION Why does my child need this surgery? This surgery is indicated for a child whose curvature of the spine has progressed to the point where the child is no longer able to sit comfortably. It is also indicated for a child whose curve is certain to progress to a severe degree. Often a brace can be used to position a child comfortably. However, the brace cannot stop the curve from worsening. The curve also becomes stiffer as it progresses, making it impossible to brace the child comfortably. Parents may choose to not address the curve with surgery. However, it must be understood that eventually the child may not be able to sit upright. This, of course, will impact the child s ability to leave the home and interact within the community, but is an option for the parents. a solid bone, after several months. The area can no longer move and thus the correction lasts a lifetime. The rod typically used is called a Unit Rod and it provides the ability to straighten the deformity and to support the spine as it fuses. Some children, who have curvatures that are very severe and or very stiff, will sometimes need a procedure to loosen the spine from the front before the back is addressed (anterior release.) This is a separate smaller operation, which can be avoided by addressing the deformity before it becomes too severe or stiff. What does the surgery involve? The surgery may address any of several spinal deformities including scoliosis, kyphosis, or lordosis. The surgery involves roughening the bone surfaces of the spine and removing the joints to allow the individual vertebrae to heal together as one long, straightened bone (fusion). This is accomplished with the addition of bone graft and the placement of a metal rod, which is wired to the spinal column in the straightened position. The bones fuse, become

2 What happens immediately after surgery?/casts? No cast is necessary after this surgery because the unit rod fixation is very strong. The child is transferred from the operating room to the Intensive Care Unit and remains there for 2-7 days. In our practice, the children are placed on a ventilator for comfort during these first few days. When the child is stable, he is moved to a regular hospital room and usually remains there for approximately 10 days. During that time physical therapy will be started; the child will progress to sitting and modifications will be made to his/her wheelchair. Children who are ambulatory will progress to standing and taking assisted steps. The child s nutritional status will also be carefully monitored. Will my child have pain? Yes. However, the pain will be controlled with pain relievers and muscle relaxants. If, after your child returns home, you feel that he/she is having inappropriate pain or side effects from the medications, please call the office. What are the incisions like? The incision is made from just below the neck, down the middle of the back, to the base of the spine. It is very narrow, but long. If an anterior release needs to be done first, that incision is on the side, along the rib cage. Will my child be able to walk? /activity at discharge? Most children requiring this surgery are not ambulatory. However, even those who do walk some, will probably need some time before they can walk as they did prior to this surgery. While in the hospital, the physical therapist will encourage walking and determine what is possible for your child.

3 Will my child be able to ride in the car? Children who have had this surgery are only limited with respect to their comfort level in terms of riding in the car. They are allowed to ride and have no restrictions. However, at first they can only tolerate short rides and do have added discomfort with rough rides. Will my child need physical therapy? Specific physical therapy is not usually needed after a spine fusion. There will be no restrictions on gentle, range of motion of the arms and legs. For children who can walk, physical therapy is often prescribed to help return the child to his/her presurgical walking ability. The social worker will help with arranging for therapy. However, individual insurance coverage will often dictate what therapy is possible. It is very helpful for families to inquire about their coverage prior to surgery in order to facilitate the process of obtaining what is needed for their child. When will my child need to return to see the doctor/x-ray? The first return visit is usually three to four weeks after discharge and x-rays will be necessary at that visit. The next visit is typically scheduled two months from that first post-op visit and x-rays may or may not be necessary. The following visit is then scheduled for 4 months (which will be roughly 7 months from the surgery date. After that visit, the child will be seen on the normal routine check up every 6 months, with x- rays if the doctor wants them done. Will my child need to be lifted or handled differently after a spine fusion? Your child will no longer be able to bend through the back, but will bend through the hips. There will be an adjustment period in which you will perhaps sense a different positioning of your arms when lifting the child. However, the surgery should make the child easier to handle and certainly easier to position in his/her seating. When will my child be able to return to school? /bus? Typically, children are in the hospital for approximately two weeks after a spine fusion. They usually are not back to eating well and sitting for long periods of time for another few weeks. However, as soon as a child feels well enough to return to school, he/she may do so. Some children return for ½ days at first. Some children actually do much better when they return to school as they are distracted from their discomfort and enjoying the company of their friends. In short, the answer to when can a child return to school is very variable but there are no medical restrictions on the return to school. The bus ride can sometimes be the one factor that limits the child s ability to return to school. If the child has a lengthy ride, the bouncing on the school bus can produce a good bit of discomfort. This would be a reason to delay the return to school, unless alternate means of transportation are available. The bouncing is not likely to cause damage to the spine or rod, but could cause discomfort.

4 How long will it be until my child has completely recovered? This is also very variable. If there are no complications, such as delays in getting back to sleeping and eating well, or infections, most children are recovered by six months. However, there are a number of factors that influence how quickly any individual recovers. Sometimes the child who you expect to have the most difficulty recovers the most quickly and the child, who had very few problems before surgery, takes longer to recover. Will this surgery ever need to be repeated? Re-operation is extremely uncommon. Once the spine is solidly fused, permanent correction is expected. What are the possible complications associated with this surgery? Children need blood transfusions with this surgery. There is an expected large blood loss because of the magnitude of this surgery. The risks associated with transfusions include Hepatitis and the AIDs virus transmission. The blood bank of Delaware has an exceptionally safe supply of blood. The surgery involves working around the spinal cord and there is the risk of damage to the cord. In children who walk, or transfer, a specialist called a neurophysiologist to minimize the risk carefully monitors the spinal cord. Infection is always a risk in any surgical procedure. Antibiotics are given prophylactically to minimize the risk. Pulmonary complications can include aspiration and pneumonia. Antibiotics and the use of the ventilator are in place to reduce these risks. Due to the magnitude of the surgery, there can be gastrointestinal complications, including nausea, constipation, and inability to take in enough calories. Sometimes patients need to be temporarily supplementally fed during the post-op period. Your child s surgeon is very aware of all these possible complications and will make every effort to avoid them.

5

POSTERIOR LUMBAR FUSION

POSTERIOR LUMBAR FUSION POSTERIOR LUMBAR FUSION The purpose of this letter is to explain what is involved when a posterior fusion is performed on your lower back. We have found that the more knowledgeable the patient, the more

More information

SPINAL FUSION. North American Spine Society Public Education Series

SPINAL FUSION. North American Spine Society Public Education Series SPINAL FUSION North American Spine Society Public Education Series WHAT IS SPINAL FUSION? The spine is made up of a series of bones called vertebrae ; between each vertebra are strong connective tissues

More information

Treatment Concepts for Degenerative Spinal Diseases PARADIGM SPINE

Treatment Concepts for Degenerative Spinal Diseases PARADIGM SPINE Treatment Concepts for Degenerative Spinal Diseases PARADIGM SPINE What You Need To Know About Your Spine It is important to understand the role of the spine, the changes that occur in your spine as your

More information

We ve got your back. Physical Therapy After Lumbar Fusion Surgery

We ve got your back. Physical Therapy After Lumbar Fusion Surgery We ve got your back Physical Therapy After Lumbar Fusion Surgery Physical therapy is an extremely important part of you recovery after spinal surgery. This booklet, prepared by the therapists who specialize

More information

Orthopaedic Spine Center. Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs

Orthopaedic Spine Center. Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs Orthopaedic Spine Center Graham Calvert MD James Woodall MD PhD Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs The cervical spine consists of the bony vertebrae, discs, nerves and other structures.

More information

Fractures of the Thoracic and Lumbar Spine

Fractures of the Thoracic and Lumbar Spine Copyright 2010 American Academy of Orthopaedic Surgeons A spinal fracture is a serious injury. Fractures of the Thoracic and Lumbar Spine The most common fractures of the spine occur in the thoracic (midback)

More information

Bassett Spine Care Institute: Patient Education Information

Bassett Spine Care Institute: Patient Education Information Bassett Spine Care Institute: Patient Education Information Anterior Interbody Lumbar Fusion The purpose of this letter is to explain what is involved when a fusion is performed on your lower back. We

More information

Spinal Fusion. Royal Devon and Exeter NHS Foundation Trust. Patient Information. Spinal Fusion. Respond Deliver & Enable

Spinal Fusion. Royal Devon and Exeter NHS Foundation Trust. Patient Information. Spinal Fusion. Respond Deliver & Enable Spinal Fusion Royal Devon and Exeter NHS Foundation Trust Patient Information Spinal Fusion Respond Deliver & Enable Introduction You have been scheduled for a procedure known as a lumbar spinal fusion.

More information

Lumbar Spine Fusion (1 of 5)

Lumbar Spine Fusion (1 of 5) Lumbar Spine Fusion (1 of 5) i If you need this information in another language or medium (audio, large print, etc) please contact the Customer Care Team on 0800 374 208 email: customercare@ salisbury.nhs.uk.

More information

.org. Fractures of the Thoracic and Lumbar Spine. Cause. Description

.org. Fractures of the Thoracic and Lumbar Spine. Cause. Description Fractures of the Thoracic and Lumbar Spine Page ( 1 ) Spinal fractures can vary widely in severity. While some fractures are very serious injuries that require emergency treatment, other fractures can

More information

Patient Information. Lateral Lumbar Interbody Fusion Surgery (LLIF).

Patient Information. Lateral Lumbar Interbody Fusion Surgery (LLIF). Patient Information. Lateral Lumbar Interbody Fusion Surgery (LLIF). Understanding your spine Disc Between each pair of vertebrae there is a disc that acts as a cushion to protect the vertebra, allows

More information

Information for the Patient About Surgical

Information for the Patient About Surgical Information for the Patient About Surgical Decompression and Stabilization of the Spine Aging and the Spine Daily wear and tear, along with disc degeneration due to aging and injury, are common causes

More information

visualized. The correct level is then identified again. With the use of a microscope and

visualized. The correct level is then identified again. With the use of a microscope and SURGERY FOR SPINAL STENOSIS Laminectomy A one inch (or longer for extensive stenosis) incision is made in the middle of the back over the effected region of the spine. The muscles over the bone are moved

More information

following surgery for Scoliosis

following surgery for Scoliosis Contact Details Spinal Team Spinal Team Nuffield Orthopaedic Centre Windmill Road Headington Oxford OX3 7LD Phone: 01865 738051 Fax: 01865 738027 Web Site www.noc.nhs.uk Information and exercises Scoliosis

More information

Patient Guide to Lower Back Surgery

Patient Guide to Lower Back Surgery The following is a sampling of products offered by Zimmer Spine for use in Open Lumbar Fusion procedures. Patient Guide to Lower Back Surgery Open Lumbar Fusion Dynesys The Dynesys Dynamic Stabilization

More information

Patient information for cervical spinal fusion.

Patient information for cervical spinal fusion. Patient information for cervical spinal fusion. Introduction This booklet has been compiled to help you understand spinal cervical fusion surgery and postoperative rehabilitation. Anatomy The cervical

More information

Calcaneus (Heel Bone) Fractures

Calcaneus (Heel Bone) Fractures Copyright 2010 American Academy of Orthopaedic Surgeons Calcaneus (Heel Bone) Fractures Fractures of the heel bone, or calcaneus, can be disabling injuries. They most often occur during high-energy collisions

More information

Patient Guide to Stenosis

Patient Guide to Stenosis Patient Guide to Stenosis For Your Spinal Education Compliments of Your Spine Health Professional Dr. Schlesinger & Dr. Thomas Arkansas Neurosurgery Clinic 501-661-0077 www.arneuro.com Stenosis Description:

More information

Patient Information. Anterior Cervical Discectomy and Fusion Surgery (ACDF).

Patient Information. Anterior Cervical Discectomy and Fusion Surgery (ACDF). Patient Information. Anterior Cervical Discectomy and Fusion Surgery (ACDF). Understanding your spine Disc Between each pair of vertebrae there is a disc that acts as a cushion to protect the vertebra,

More information

X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary

X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary Introduction Severe arthritis in the hip can lead to severe pain and inability to walk. To relieve the pain and improve

More information

Patient Guide to Neck Surgery

Patient Guide to Neck Surgery The following is a sampling of products offered by Zimmer Spine for use in Anterior Cervical Fusion procedures. Patient Guide to Neck Surgery Anterior Cervical Fusion Trinica Select With the Trinica and

More information

Lumbar Laminectomy and Interspinous Process Fusion

Lumbar Laminectomy and Interspinous Process Fusion Lumbar Laminectomy and Interspinous Process Fusion Introduction Low back and leg pain caused by pinched nerves in the back is a common condition that limits your ability to move, walk, and work. This condition

More information

CORRECTIVE OSTEOTOMY Information for Patients WHAT IS CORRECTIVE OSTEOTOMY?

CORRECTIVE OSTEOTOMY Information for Patients WHAT IS CORRECTIVE OSTEOTOMY? CORRECTIVE OSTEOTOMY Information for Patients WHAT IS CORRECTIVE OSTEOTOMY? An osteotomy is a surgical procedure that involves dividing a bone at a selected site to create an artificial fracture, and fixing

More information

Consent for Anterior Cervical Discectomy With Fusion and a Metal Plate at

Consent for Anterior Cervical Discectomy With Fusion and a Metal Plate at STEPHEN MARANO, M.D. JAMES COOK PA-C Consent for Anterior Cervical Discectomy With Fusion and a Metal Plate at Patient Name: Patient Diagnosis: Cervical Degenerative Disc Disease (wear and tear on the

More information

Marc A. Cohen, MD, FAAOS, FACS Diplomate American Board of Spinal Surgery Fellow American College of Spinal Surgery

Marc A. Cohen, MD, FAAOS, FACS Diplomate American Board of Spinal Surgery Fellow American College of Spinal Surgery Marc A. Cohen, MD, FAAOS, FACS Diplomate American Board of Spinal Surgery Fellow American College of Spinal Surgery 221 Madison Ave Morristown, New Jersey 07960 (973) 538 4444 Fax (973) 538 0420 Patient

More information

Herniated Cervical Disc

Herniated Cervical Disc Herniated Cervical Disc North American Spine Society Public Education Series What Is a Herniated Disc? The backbone, or spine, is composed of a series of connected bones called vertebrae. The vertebrae

More information

Patient Information. Anterior Lumbar Interbody Fusion

Patient Information. Anterior Lumbar Interbody Fusion Patient Information Anterior Lumbar Interbody Fusion Table of Contents Anatomy of the Spine 2 The Healthy Spine 3 General Treatment Options 4 General Conditions of the Lumbar Spine 5 What is Spondylolisthesis?

More information

BUNIONECTOMY SURGERY.

BUNIONECTOMY SURGERY. ORTHOPAEDIC UNIT: 01-293 8687 /01-293 6602 BEACON CENTRE FOR ORTHOPAEDICS: 01-2937575 PHYSIOTHERAPY DEPARTMENT: 01-2936692 GUIDELINES FOR PATIENTS HAVING BUNIONECTOMY SURGERY. Please stick addressograph

More information

Direct Lateral Interbody Fusion A Minimally Invasive Approach to Spinal Stabilization

Direct Lateral Interbody Fusion A Minimally Invasive Approach to Spinal Stabilization APPROVED IRN10389-1.1-04 Direct Lateral Interbody Fusion A Minimally Invasive Approach to Spinal Stabilization Because it involves accessing the spine through the patient s side, the Direct Lateral approach

More information

BRYAN. Cervical Disc System. Patient Information

BRYAN. Cervical Disc System. Patient Information BRYAN Cervical Disc System Patient Information 3 BRYAN Cervical Disc System PATIENT INFORMATION BRYAN Cervical Disc System PATIENT INFORMATION 1 BRYAN Cervical Disc System This patient information brochure

More information

Patient Information for Lumbar Spinal Fusion. What is a lumbar spinal fusion? Page 1 of 5

Patient Information for Lumbar Spinal Fusion. What is a lumbar spinal fusion? Page 1 of 5 Patient Information for Lumbar Spinal Fusion What is a lumbar spinal fusion? You have been offered surgery to the lumbar region of your spine, your lower back. The operation is called a lumbar spinal fusion.

More information

Consent for Lumbar Spine Surgery and Fusion at

Consent for Lumbar Spine Surgery and Fusion at STEPHEN MARANO, M.D. JAMES COOK PA-C Consent for Lumbar Spine Surgery and Fusion at Patient Name: Patient Diagnosis: Lumbar Spinal Stenosis (Narrowing of the canal where the spinal cord and nerves are

More information

Joint Replacement 101. Ohio Valley Medical Center and East Ohio Regional Hospital Pre- surgical Class for Total Joint Replacements

Joint Replacement 101. Ohio Valley Medical Center and East Ohio Regional Hospital Pre- surgical Class for Total Joint Replacements Joint Replacement 101 Ohio Valley Medical Center and East Ohio Regional Hospital Pre- surgical Class for Total Joint Replacements Ohio Valley Medical Center and East Ohio Regional Hospital are both certified

More information

Before Surgery You will likely be asked to see your family physician or an internal medicine doctor for a thorough medical evaluation.

Before Surgery You will likely be asked to see your family physician or an internal medicine doctor for a thorough medical evaluation. Anterior Hip Replacement - Before and After Surgery Your Hip Evaluation An orthopaedic surgeon specializes in problems affecting bones and joints. The surgeon will ask you many questions about your hip

More information

Neuromuscular scoliosis:

Neuromuscular scoliosis: Neuromuscular scoliosis: Understanding the options I. Key facts to know II. What are the options? III. Benefits and risks of surgery IV. Things to consider when choosing scoliosis surgery or nonoperative

More information

Cervical Disk Surgery

Cervical Disk Surgery Cervical Disk Surgery Relieving Symptoms with Decompression and Fusion CONSIDER CERVICAL DISK SURGERY Do you suffer from nagging neck and arm pain or weakness caused by a disk problem in your upper (cervical)

More information

.org. Clavicle Fracture (Broken Collarbone) Anatomy. Description. Cause. Symptoms

.org. Clavicle Fracture (Broken Collarbone) Anatomy. Description. Cause. Symptoms Clavicle Fracture (Broken Collarbone) Page ( 1 ) A broken collarbone is also known as a clavicle fracture. This is a very common fracture that occurs in people of all ages. Anatomy The collarbone (clavicle)

More information

Postoperative Instructions After Spine Fusion

Postoperative Instructions After Spine Fusion Postoperative Instructions After Spine Fusion Prior to spinal fusion, you have likely been treated with physical therapy, medications, braces, and/or cortisone injections or nerve blocks. These have not

More information

Does the pain radiating down your legs, buttocks or lower back prevent you from walking long distances?

Does the pain radiating down your legs, buttocks or lower back prevent you from walking long distances? Does the pain radiating down your legs, buttocks or lower back prevent you from walking long distances? Do you experience weakness, tingling, numbness, stiffness, or cramping in your legs, buttocks or

More information

Spinal Fusion: Preparing for Surgery

Spinal Fusion: Preparing for Surgery Spinal Fusion: Preparing for Surgery A GUIDE TO YOUR CHILD S SURGERY he diagnosis of a spinal deformity, such as scoliosis or kyphosis, can be overwhelming. These conditions often require surgical treatment

More information

Rodding Surgery. 804 W. Diamond Ave., Ste. 210 Gaithersburg, MD 20878 (800) 981-2663 (301) 947-0083

Rodding Surgery. 804 W. Diamond Ave., Ste. 210 Gaithersburg, MD 20878 (800) 981-2663 (301) 947-0083 Rodding Surgery 804 W. Diamond Ave., Ste. 210 Gaithersburg, MD 20878 (800) 981-2663 (301) 947-0083 Fax: (301) 947-0456 Internet: www.oif.org Email: bonelink@oif.org The Osteogenesis Imperfecta Foundation,

More information

Additionally, though minimally invasive procedures are easier for the patient,

Additionally, though minimally invasive procedures are easier for the patient, 1. Target Keyword: Minimally invasive spine surgery versus traditional back surgery Page Title: Minimally invasive spine surgery versus traditional back surgery Traditionally, back surgery has been a harrowing

More information

Anterior Cervical Discectomy and Fusion

Anterior Cervical Discectomy and Fusion A Patient s Guide to Anterior Cervical Discectomy and Fusion 651 Old Country Road Plainview, NY 11803 Phone: 5166818822 Fax: 5166813332 p.lettieri@aol.com DISCLAIMER: The information in this booklet is

More information

Total Hip Replacement

Total Hip Replacement Total Hip Replacement Yampa Valley Medical Center Steamboat Springs, Colorado What is a Total Hip Replacement? Total hip replacement is a surgical procedure where the worn-out surfaces of the hip are replaced

More information

Thumb Basal Joint Arthritis Orthopaedic Department Patient Information Leaflet

Thumb Basal Joint Arthritis Orthopaedic Department Patient Information Leaflet Thumb Basal Joint Arthritis Orthopaedic Department Patient Information Leaflet Page 1 Arthritis of the CMC joint of the thumb The joint where the thumb attaches to the hand can suffer from wear and tear.

More information

Idiopathic scoliosis may be broken down into four categories based on age:

Idiopathic scoliosis may be broken down into four categories based on age: Scoliosis (skoh-lee-oh-sis) Scoliosis is a condition in which the spine develops one or more abnormal, side-toside curves that in turn may affect the body's overall balance and alignment, as well as possibly

More information

What is the Spasticity Clinic?

What is the Spasticity Clinic? The Spasticity Clinic This booklet can help you learn about: the Spasticity Clinic at McMaster Children s Hospital spasticity and how it may be treated Your therapist will give you more information and

More information

GUIDELINES FOR PATIENTS FOLLOWING ANKLE FRACTURE

GUIDELINES FOR PATIENTS FOLLOWING ANKLE FRACTURE ORTHOPAEDIC UNIT: 01-293 8687 /01-293 6602 BEACON CENTRE FOR ORTHOPAEDICS: 01-2937575 PHYSIOTHERAPY DEPARTMENT: 01-2936692 GUIDELINES FOR PATIENTS FOLLOWING ANKLE FRACTURE Please stick addressograph here

More information

Herniated Lumbar Disc

Herniated Lumbar Disc Herniated Lumbar Disc North American Spine Society Public Education Series What Is a Herniated Disc? The spine is made up of a series of connected bones called vertebrae. The disc is a combination of strong

More information

Wrist and Hand. Patient Information Guide to Bone Fracture, Bone Reconstruction and Bone Fusion: Fractures of the Wrist and Hand: Carpal bones

Wrist and Hand. Patient Information Guide to Bone Fracture, Bone Reconstruction and Bone Fusion: Fractures of the Wrist and Hand: Carpal bones Patient Information Guide to Bone Fracture, Bone Reconstruction and Bone Fusion: Wrist and Hand Fractures of the Wrist and Hand: Fractures of the wrist The wrist joint is made up of the two bones in your

More information

GUIDELINES FOR PATIENTS FOLLOWING ANKLE FRACTURE

GUIDELINES FOR PATIENTS FOLLOWING ANKLE FRACTURE ORTHOPAEDIC UNIT: 01-293 8687 /01-293 6602 UPMC BEACON CENTRE FOR ORTHOPAEDICS: 01-2937575 PHYSIOTHERAPY DEPARTMENT: 01-293 6692 GUIDELINES FOR PATIENTS FOLLOWING ANKLE FRACTURE Please stick addressograph

More information

A Healthy Lumbar Spine... 2. A Problem Lumbar Spine... 3. Understanding Your Surgery... 4. Preparing for Surgery... 5. Day of Surgery...

A Healthy Lumbar Spine... 2. A Problem Lumbar Spine... 3. Understanding Your Surgery... 4. Preparing for Surgery... 5. Day of Surgery... Table of Contents A Healthy Lumbar Spine................. 2 A Problem Lumbar Spine................. 3 Understanding Your Surgery.............. 4 Preparing for Surgery.................... 5 Day of Surgery.........................

More information

Total Hip Replacement

Total Hip Replacement NOTES Total Hip Replacement QUESTIONS DATES PHONE NOS. Compiled by Mr John F Nolan FRCS for The British Hip Society 2009. A patient s information booklet 16 1 Introduction This booklet has been produced

More information

Scoliosis in CP. Dr. Missuina. July 12, 2006

Scoliosis in CP. Dr. Missuina. July 12, 2006 Scoliosis in CP Dr. Hatem Al-Harbi Dr. Missuina July 12, 2006 Scoliosis Scoliosis is a sign not a disease Idiopathic Scoliosis is a diagnosis of exclusion History, Physical and Investigation should rule

More information

GEORGETOWN ORTHOPAEDIC SPINE SURGERY SCOLIOSIS FUSION SURGERY

GEORGETOWN ORTHOPAEDIC SPINE SURGERY SCOLIOSIS FUSION SURGERY SCOLIOSIS FUSION SURGERY PLEASE DO NOT TAKE ANY NON-STEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDs like Advil, Ibuprofen, Motrin, Naprosyn, Aleve, etc) OR ASPIRIN PRODUCTS FOR 7-10 DAYS BEFORE SURGERY. These

More information

Laparoscopic Colectomy. What do I need to know about my laparoscopic colorectal surgery?

Laparoscopic Colectomy. What do I need to know about my laparoscopic colorectal surgery? Laparoscopic Colectomy What do I need to know about my laparoscopic colorectal surgery? Traditionally, colon & rectal surgery requires a large, abdominal and/or pelvic incision, which often requires a

More information

Rehabilitation. Rehabilitation. Walkers, Crutches, Canes

Rehabilitation. Rehabilitation. Walkers, Crutches, Canes Walkers, Crutches, Canes These devices provide support through your arms to limit the amount of weight on your operated hip. Initially, after a total hip replacement you will use a walker to get around.

More information

Information leaflet for patients with suspected metastatic spinal cord compression

Information leaflet for patients with suspected metastatic spinal cord compression Information leaflet for patients with suspected metastatic spinal cord compression This leaflet provides information for patients with malignant spinal cord compression. It will explain what spinal cord

More information

What types of scoliosis are there?

What types of scoliosis are there? Patient and Family Education Scoliosis About idiopathic scoliosis and its treatment This handout covers the most common type of scoliosis, adolescent idiopathic scoliosis. Other types of scoliosis may

More information

Low Back Spinal Surgery. Relieving Symptoms with Decompression and Fusion

Low Back Spinal Surgery. Relieving Symptoms with Decompression and Fusion Low Back Spinal Surgery Relieving Symptoms with Decompression and Fusion Low Back Problems If you have a low back problem, you re not alone. Low back problems are very common. Some are caused by aging

More information

James A. Sanfilippo, M.D. CONSENT FOR SPINAL SURGERY PATIENT: DATE:

James A. Sanfilippo, M.D. CONSENT FOR SPINAL SURGERY PATIENT: DATE: James A. Sanfilippo, M.D. CONSENT FOR SPINAL SURGERY PATIENT: DATE: 1. I have been strongly advised to carefully read and consider this operative permit. I realize that it is important that I understand

More information

Spinal decompression surgery

Spinal decompression surgery Other formats Spinal decompression surgery If you need this information in another format such as audio tape or computer disk, Braille, large print, high contrast, British Sign Language or translated into

More information

Adult Forearm Fractures

Adult Forearm Fractures Adult Forearm Fractures Your forearm is made up of two bones, the radius and ulna. In most cases of adult forearm fractures, both bones are broken. Fractures of the forearm can occur near the wrist at

More information

Post-Operative Breathing and Leg Exercises

Post-Operative Breathing and Leg Exercises Post-Operative Breathing and Leg Exercises Following surgery, especially abdominal surgery, there is a tendency for your lungs to produce more mucous than usual and not to expand fully. This is partly

More information

TABLE OF CONTENTS. Surgical Technique 2. Indications 4. Product Information 5. 1. Patient Positioning and Approach 2

TABLE OF CONTENTS. Surgical Technique 2. Indications 4. Product Information 5. 1. Patient Positioning and Approach 2 Surgical Technique TABLE OF CONTENTS Surgical Technique 2 1. Patient Positioning and Approach 2 2. Intervertebral Device Implanted 2 3. Buttress Plate Selection 2 4. Awl Insertion 2 5. Screw Insertion

More information

Surgery for Disc Prolapse

Surgery for Disc Prolapse Contact Details Spinal Team Nuffield Orthopaedic Centre Windmill Road Headington Oxford OX3 7LD Surgery for Disc Prolapse Phone: 01865 738051 Fax: 01865 738027 Web Site www.noc.nhs.uk Surgery for disc

More information

Lumbar Spinal Stenosis

Lumbar Spinal Stenosis Lumbar Spinal Stenosis North American Spine Society Public Education Series What Is Lumbar Spinal Stenosis? The vertebrae are the bones that make up the lumbar spine (low back). The spinal canal runs through

More information

Spinal Fusion Surgery

Spinal Fusion Surgery 1.0 Policy Statement... 2 2.0 Purpose... 2 3.0 Scope... 2 4.0 Health & Safety... 2 5.0 Responsibilities... 2 6.0 Definitions and Abbreviations... 3 7.0 Guideline... 3 7.1 Pre-Operative... 3 7.2 Post-Operative...

More information

Pre and Post-Op instructions for lumbar fusion

Pre and Post-Op instructions for lumbar fusion Pre and Post-Op instructions for lumbar fusion These instructions are divided in 3 sections: 1. Pre-op instructions (things to do) 2. The hospital stay 3. Post-op and discharge instructions Pre- op instructions

More information

PRESTIGE LP. Cervical Disc System. Patient Information

PRESTIGE LP. Cervical Disc System. Patient Information PRESTIGE LP Cervical Disc System Patient Information 3 PRESTIGE LP Cervical Disc System Patient Information This patient information brochure is designed to help you understand one treatment option for

More information

Patient Journey Hip Replacement Surgery

Patient Journey Hip Replacement Surgery Hip Replacement Q&A Am I ready for hip replacement? Only your orthopaedic surgeon can decide if hip replacement is the appropriate treatment for you. And only you can decide if you are ready for it. Being

More information

Adolescent Idiopathic Scoliosis

Adolescent Idiopathic Scoliosis Adolescent Idiopathic Scoliosis North American Spine Society Public Education Series The spine is made up of a series bones called vertebrae. These vertebrae are connected to each other by discs and connective

More information

.org. Femur Shaft Fractures (Broken Thighbone) Types of Femoral Shaft Fractures

.org. Femur Shaft Fractures (Broken Thighbone) Types of Femoral Shaft Fractures Femur Shaft Fractures (Broken Thighbone) Page ( 1 ) Your thighbone (femur) is the longest and strongest bone in your body. Because the femur is so strong, it usually takes a lot of force to break it. Car

More information

UHealth Sports Medicine

UHealth Sports Medicine UHealth Sports Medicine Rehabilitation Guidelines for Meniscal Repair The rehabilitation guidelines are presented in a criterion based progression. Specific time frames, restrictions and precautions are

More information

RISKS AND COMPLICATIONS TOTAL HIP REPLACEMENT

RISKS AND COMPLICATIONS TOTAL HIP REPLACEMENT PATIENT INFORMATION SHEET RISKS AND COMPLICATIONS TOTAL HIP REPLACEMENT RISKS AND COMPLICATIONS - TOTAL HIP REPLACEMENT Index Pages INTRODCUTION 3 (1) ANAESTHETIC AND MEDICAL: 3 (2) BLOOD TRANSFUSION:

More information

SCOLIOSIS FUSION SURGERY

SCOLIOSIS FUSION SURGERY SCOLIOSIS FUSION SURGERY PLEASE DO NOT TAKE ANY NON-STEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDs like Advil, Celebrex, Ibuprofen, Motrin, Vioxx, Naprosyn, Aleve, etc) OR ASPIRIN PRODUCTS FOR 2 WEEKS BEFORE

More information

Hip Replacement Surgery Understanding the Risks

Hip Replacement Surgery Understanding the Risks Hip Replacement Surgery Understanding the Risks Understanding the Risks of Hip Replacement Surgery Introduction This booklet is designed to help your doctor talk to you about the most common risks you

More information

ADVICE TO PATIENT DUE TO HAVE MICRODISCECTOMY / SPINAL STENOSIS DECOMPRESSION. Under the Care of Mr M Paterson - 11 -

ADVICE TO PATIENT DUE TO HAVE MICRODISCECTOMY / SPINAL STENOSIS DECOMPRESSION. Under the Care of Mr M Paterson - 11 - ADVICE TO PATIENT DUE TO HAVE MICRODISCECTOMY / SPINAL STENOSIS DECOMPRESSION Under the Care of Mr M Paterson Acknowledgement: Drawings by Jean Paterson Perth Australia 2006 Brochure: R. Grubb Amended:

More information

HIP & KNEE SURGERY PATIENTS

HIP & KNEE SURGERY PATIENTS HIP & KNEE HIP & KNEE SURGERY PATIENTS GET ANSWERS TO FREQUENTLY ASKED QUESTIONS YOU. IMPROVED. 2001 Vail Ave (N. Caswell St. Entrance) Suite 200A Charlotte, NC 28207 orthocarolina.com GENERAL QUESTIONS

More information

Implant Failure of Posterior Lower Spinal Instrumentation

Implant Failure of Posterior Lower Spinal Instrumentation Implant Failure of Posterior Lower Spinal Instrumentation (A clinical & surgical Challenge) B Y Mohamed Mohi El-Din, MD The Department of Neurosurgery, Faculty of Medicine, Cairo University The purpose

More information

CORONARY ARTERY BYPASS GRAFT & HEART VALVE SURGERY

CORONARY ARTERY BYPASS GRAFT & HEART VALVE SURGERY CORONARY ARTERY BYPASS GRAFT & HEART VALVE SURGERY www.cpmc.org/learning i learning about your health What to Expect During Your Hospital Stay 1 Our Team: Our cardiac surgery specialty team includes nurses,

More information

Disc Biacuplasty. Once the Procedure is Over, You Will: During the First 24 Hours, You Will: CONTENTS. Side Effects. Patient Discharge Instructions

Disc Biacuplasty. Once the Procedure is Over, You Will: During the First 24 Hours, You Will: CONTENTS. Side Effects. Patient Discharge Instructions Patient Discharge Instructions You have recently undergone a procedure called disc biacuplasty to treat your lower back pain. It was performed on your spinal disc level. Because the procedure involves

More information

Lumbar or Thoracic Decompression and Fusion

Lumbar or Thoracic Decompression and Fusion Lumbar or Thoracic Decompression and Fusion DO NOT TAKE ANY ASPIRIN PRODUCTS OR NON-STEROIDAL ANTI- INFLAMMATORY DRUGS (ie NSAIDs, Advil, Celebrex, Ibuprofen, Motrin, Naprosyn, Aleve, etc) FOR 2 WEEKS

More information

REPUTATION MANAGEMENT: SPINAL FUSION SURGERY

REPUTATION MANAGEMENT: SPINAL FUSION SURGERY REPUTATION MANAGEMENT: SPINAL FUSION SURGERY Meaningful and Positive Progress in Spinal Fusion Results: A Journey towards Excellence Paul J. Slosar, M.D. SpineCare Medical Group As a practicing spine surgeon,

More information

Surgery for cervical disc prolapse or cervical osteophyte

Surgery for cervical disc prolapse or cervical osteophyte Mr Paul S. D Urso MBBS(Hons), PhD, FRACS Neurosurgeon Provider Nº: 081161DY Epworth Centre Suite 6.1 32 Erin Street Richmond 3121 Tel: 03 9421 5844 Fax: 03 9421 4186 AH: 03 9483 4040 email: paul@pauldurso.com

More information

Adult Distal Radius (Wrist) Fractures

Adult Distal Radius (Wrist) Fractures Anatomy A Patient's Guide to Adult Distal Radius (Wrist) Fractures Adult Distal Radius (Wrist) Fractures The distal radius is part of the radius, one of the two bones in the forearm. The distal radius

More information

X-Plain Vertebral Compression Fractures Reference Summary

X-Plain Vertebral Compression Fractures Reference Summary X-Plain Vertebral Compression Fractures Reference Summary Introduction Back pain caused by a vertebral compression fracture, or VCF, is a common condition that affects thousands of people every year. A

More information

Low Back Pain Introduction What Are the Parts of the Spine? How Does Your Spine Change With Age?

Low Back Pain Introduction What Are the Parts of the Spine? How Does Your Spine Change With Age? Low Back Pain Introduction Back problems are common, affecting about 80 percent of adults at some time in their lives. Back problems may begin for many reasons including minor strains, sprains or injuries.

More information

PERIACETABULAR OSTEOTOMY SURGERY

PERIACETABULAR OSTEOTOMY SURGERY 1 PERIACETABULAR OSTEOTOMY SURGERY It is important to us that all of our patients know what to expect before surgery, during their hospitalization and after surgery. Office Visits Planning begins with

More information

A whiplash injury, most commonly due to a car crash, causes neck pain. See separate leaflet called 'Whiplash Injury' for details.

A whiplash injury, most commonly due to a car crash, causes neck pain. See separate leaflet called 'Whiplash Injury' for details. Neck Pain in Adults Who gets neck pain and what are the causes? Neck pain is common. More than half of people develop a bout of neck pain at some time in their life. One survey done in the UK found that,

More information

Anterior Hip Replacement

Anterior Hip Replacement Disclaimer This movie is an educational resource only and should not be used to manage Orthopaedic health. All decisions about the management of hip replacement and arthritis management must be made in

More information

Posterior Cervical Decompression

Posterior Cervical Decompression Posterior Cervical Decompression Spinal Unit Tel: 01473 702032 or 702097 Issue 2: January 2009 Following your recent MRI scan and consultation with your spinal surgeon, you have been diagnosed with a

More information

Epidurals for pain relief after surgery

Epidurals for pain relief after surgery Epidurals for pain relief after surgery This information leaflet is for anyone who may benefit from an epidural for pain relief after surgery. We hope it will help you to ask questions and direct you to

More information

Wrist Fracture. Please stick addressograph here

Wrist Fracture. Please stick addressograph here ORTHOPAEDIC UNIT: 01-293 8687 /01-293 6602 UPMC BEACON CENTRE FOR ORTHOPAEDICS: 01-2937575 PHYSIOTHERAPY DEPARTMENT: 01-2936692 GUIDELINES FOR PATIENTS FOLLOWING WRIST FRACTURE Please stick addressograph

More information

Consent for Lumbar Spine Discectomy Surgery at

Consent for Lumbar Spine Discectomy Surgery at STEPHEN MARANO, M.D. JAMES COOK PA-C Consent for Lumbar Spine Discectomy Surgery at Patient Name: Patient Diagnosis: o Lumbar Disc Herniation (rupture of the disc) o Lumbar Degenerative Disc Disease (wear

More information

1. General information on bedridden patients

1. General information on bedridden patients - 1 TRAINING OF PHYSIOTHERAPISTS AND DOCTORS IN HOSPITALS PT PROTOCOL FOR BEDRIDDEN PATIENTS 1. General information on bedridden patients 1.1. Definition A bedridden patient is a patient that, for some

More information

Open Discectomy. North American Spine Society Public Education Series

Open Discectomy. North American Spine Society Public Education Series Open Discectomy North American Spine Society Public Education Series What Is Open Discectomy? Open discectomy is the most common surgical treatment for ruptured or herniated discs of the lumbar spine.

More information

Cervical Spondylosis (Arthritis of the Neck)

Cervical Spondylosis (Arthritis of the Neck) Copyright 2009 American Academy of Orthopaedic Surgeons Cervical Spondylosis (Arthritis of the Neck) Neck pain is extremely common. It can be caused by many things, and is most often related to getting

More information

TOWN CENTER ORTHOPAEDIC ASSOCIATES P.C. Meniscus Tears

TOWN CENTER ORTHOPAEDIC ASSOCIATES P.C. Meniscus Tears Meniscus Tears The knee is a complex, mobile joint. It can bend and it can rotate slightly. The knee joins the upper and lower leg bones (femur and tibia). The ends of the bones are covered by smooth articular

More information